Monocular esotropia with other noncomitancies, right eye

This code describes a condition where the right eye turns inward (esotropia) and the misalignment varies depending on the direction of gaze, indicating a noncomitant strabismus. This means the degree of deviation is not constant in all gaze positions.

Use this code when documentation specifies monocular esotropia of the right eye with evidence of noncomitancy, such as varying angles of deviation in different fields of gaze. This typically occurs in cases of paralytic strabismus or restrictive ophthalmopathy.

• Ensure the documentation clearly specifies "right eye" and "noncomitant" to support this specific code.
• Distinguish from comitant esotropia, where the angle of deviation is constant in all gaze positions.
• Review for any underlying causes of the noncomitancy, such as cranial nerve palsies, which may require additional coding.